CERVICAL SPINE Flashcards

(41 cards)

1
Q

typical vs. atypical vertebrae

A

TYPICAL: C3, C4, C5, C6
ATYPICAL: C1, C2, C7

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2
Q

C1 ATLAS - divided into 3 sections

A

anterior arch
lateral mass
posterior arch

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3
Q

anterior arch

A

articular facet for dens/ odontoid process
anterior tubercle
fovea dentis

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4
Q

lateral mass

A

(no vertebral body)
tubercle for transverse ligament
superior & inferior articular facet
transverse foramen
TVP

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5
Q

posterior arch

A

posterior tubercle
groove for vertebral artery

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6
Q

C1 (atypical)

A

no SP
no body

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7
Q

C2 AXIS

A

dens / odontoid process
anterior articular facet (for anterior arch C1)
posterior articular facet (for transverse ligament C1)
impression alar ligament
SP (bifid)
superior & inferior articular facet
vertebral foramen
body, pedicle, lamina
TVP
transverse foramen
intervertebral foramen

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8
Q

posterior articular facet (C2)

A

(groove for transverse ligament of C1)
transverse ligament of C1 sits just below facet

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9
Q

transverse foramen

A

where vertebral artery runs through

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10
Q

what is atypical about C7?

A

elongated SP
NOT bifid

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11
Q

hyoid bone

A

body
greater cornu/ horn
lesser cornu/ horn

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12
Q

5 joints

A

atlanto-occipital (between occiput & C1)
medial atlanto-axial (between C1 & C2 = DENS)
lateral atlanto-axial (between C1 & C2)
facet joint (C2-C7)
intervertebral (C2-C7)

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13
Q

ATLANTO-OCCIPITAL JOINT type

A

synovial, condyloid, diarthrosis, biaxial

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14
Q

ATLANTO-OCCIPITAL JOINT articular surfaces

A

occiput: condylar facets (convex)
atlas (C1): superior facets of lateral mass of atlas (concave)

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15
Q

ATLANTO-OCCIPITAL JOINT movements

A

flexion, extension, slight lateral flexion

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16
Q

MEDIAL ATLANTO-AXIAL JOINT type

A

synovial, pivot, diarthrosis, uniaxial
(rotation)

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17
Q

MEDIAL ATLANTO-AXIAL JOINT articular surfaces

A

atlas C1: facet for dens on atlas (concave)
axis C2: anterior facet for dens on axis (convex)

18
Q

LATERAL ATLANTO-AXIAL JOINT type

A

synovial, plane, diarthrosis, uniaxial
(gliding)

19
Q

LATERAL ATLANTO-AXIAL JOINT articular surfaces

A

atlas C1: inferior facets of C1
axis C2: superior facets of C2

20
Q

tectorial membrane

A

turns into PLL after C2

21
Q

cruciate / cruciform / transverse ligament

A

holds dens of C2 against C1
creates pivot

22
Q

ALL

A

prevents hyperextension

23
Q

PLL

A

prevents hyperflexion

24
Q

FACET JOINT type

A

synovial, plane, diarthrosis, uniaxial

25
FACET JOINT articular surfaces
inferior condylar facet of superior vertebrae superior condylar facet of inferior vertebrae
26
FACET JOINT movements
gliding, flexion, extension coupled with slight lateral flexion & rotation
27
INTERVERTEBRAL JOINT type
cartilaginous, symphysis, amphiarthrosis, triaxial
28
INTERVERTEBRAL JOINT articular surfaces
inferior body of superior vertebrae superior body of inferior vertebrae intervertebral disc
29
C-spine end feel
tissue stretch
30
coupled motions
rotation & lateral flexion always together except at C1/C2 C2-T5 = ipsilateral side T6-L5 = contralateral side
31
suprahyoid muscles
digastric stylohyoid geniohyoid mylohyoid
32
infrahyoid muscles
sternohyoid omohyoid thyrohyoid sternothyroid
33
transversospinalis group
semispinalis multifidus rotatores
34
erector spinae group
spinalis longissimus iliocostalis
35
erector spinae group ACTIONS
bilateral: extend vertebral column & head unilateral: lateral flexion of spine
36
deep neck flexors
rectus capitis anterior rectus capitis lateralis longus capitis longus cervicis (colli)
37
scalenes
anterior middle posterior
38
function of suboccipital muscles
maintain postural stabilization of head (suboccipital nerve)
39
suboccipital muscles
rectus capitis posterior minor rectus capitis posterior major obliquues capitis inferior obliquues capitis superior
40
interspinalis ACTION
extend vertebral column
41
intertransversarius ACTION
lateral flexion of vertebral column